Aesthetic Procedures in Patients With Vitiligo: Evidence-Based Clinical Guidelines for Minimizing Koebner Phenomenon Risk
January 2026
The document provides evidence-based clinical guidelines for performing aesthetic procedures on patients with vitiligo, aiming to minimize the risk of the Koebner phenomenon, which is the appearance of new skin lesions on previously unaffected skin due to trauma. Vitiligo affects about 0.52% of the global population and significantly impacts patients' self-image and quality of life. The guidelines address the need for careful consideration of the unique challenges posed by vitiligo when patients seek cosmetic procedures such as rejuvenation, contouring, resurfacing, or corrective treatments. The focus is on balancing the desire for aesthetic improvement with the potential risk of exacerbating vitiligo symptoms.